Postoperative Vitamin D Surveillance and Supplementation in Revision Total Knee Arthroplasty Patients: A Retrospective Cohort Analysis

Orthop Clin North Am. 2024 Jul;55(3):323-332. doi: 10.1016/j.ocl.2024.02.002. Epub 2024 Mar 23.

Abstract

This study was a retrospective cohort analysis of 20 patients who underwent 23 revision total knee arthroplasty procedures in a single geographic region of the United States from January 2015 to February 2023. We analyzed their 25-OH vitamin D levels preoperatively and postoperatively at 1 month, 3 months, 6 months, 1 year, and 2 years. We categorized their supplementation regimens by dose: none, low dose (1000 IU and below), medium dose (1001-5000 IU), and high dose (>5000 IU). We found that there was a high incidence of vitamin D deficiency in this patient population.

Keywords: Complications; Postoperative care; Revision arthroplasty; Revision total knee arthroplasty; Vitamin D; Vitamin D deficiency.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee*
  • Dietary Supplements*
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control
  • Reoperation* / statistics & numerical data
  • Retrospective Studies
  • Vitamin D Deficiency* / epidemiology
  • Vitamin D* / administration & dosage
  • Vitamin D* / blood

Substances

  • Vitamin D